Individual provider Active NPI

Stephanie Ferrara, C.R.N.P.

  • Family Nurse Practitioner
  • Forked River, NJ
National Provider Identifier
1790114965
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013317 Issued in PA
Practice address
701 S Main St
Forked River, NJ 08731-5405
Phone
(609) 250-4110
Fax
(609) 978-8977
NPI assigned
Nov 7, 2013
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013317 PA Primary

Addresses

Primary practice location

701 S Main St
Forked River, NJ 08731-5405

Mailing address

2125 Route 88 E
Brick, NJ 08724-3273
Phone (732) 892-4548

Other names 1

  • Stephanie Lebak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020002287 NJ Practitioner - Nurse Practitioner 5597043836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Group PCGroup PAC ID 4587799358, 28 clinicians

Practice addresses (Care Compare)

2125 Route 88 E
Brick, NJ 08724-3273
Phone (732) 892-4548

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013317PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Group PC CurrentSince May 1, 2024 Accepting new patients
Ocean County Family Care, P.a. Current Accepting new patients

Locations

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

701 S Main St
Forked River, NJ 08731
Phone (609) 250-4110

27 S Cooks Bridge Rd
Ste 1-4
Jackson, NJ 08527
Phone (732) 364-3881

Interoperability endpoints

  • Direct secure messaging: stephanie.lebak@lbp.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1790114965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-892-4548",
            "fax_number": "732-892-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087315405",
            "telephone_number": "609-250-4110",
            "fax_number": "609-978-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARA",
        "first_name": "STEPHANIE",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LEBAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.